Individual provider Active NPI

Doneta Wilson, APRN

  • Adult Health Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1043874811
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11002557 Issued in FL
Practice address
1515 N University Dr Ste 217
Coral Springs, FL 33071-8933
Phone
(305) 931-7424
NPI assigned
Apr 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 9275062 FL
Adult Health Nurse Practitioner 363LA2200X APRN11002557 FL Primary

Addresses

Primary practice location

1515 N University Dr Ste 217
Coral Springs, FL 33071-8933

Mailing address

1380 NE Miami Gardens Dr Ste 210
North Miami Beach, FL 33179-4709
Phone (305) 931-7424

Other names 1

  • Doneta Todd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240211000054 FL Practitioner - Nurse Practitioner 6507209178 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9275062FLMDMedical-Surgical Registered Nurse
APRN11002557FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Health Medical, Inc CurrentSince Jan 6, 2024 Accepting new patients

Locations

1515 N University Dr
Ste 217
Coral Springs, FL 33071
Phone (305) 931-7424

1380 NE Miami Gardens Dr
Ste 210
North Miami Beach, FL 33179
Phone (305) 692-9009

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCGBD/Endpoint/IJCGBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1043874811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 210",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794709",
            "telephone_number": "305-931-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N UNIVERSITY DR STE 217",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718933",
            "telephone_number": "305-931-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DONETA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2023-07-11",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "9275062",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11002557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONETA",
            "last_name": "TODD",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.